Throughout my 40 years of experience as a healthcare attorney and advisor, I have witnessed significant transformations in the business of medicine. Perhaps one of the most telling examples is the rise, fall, and evolution of Independent Practice Associations (IPAs), network models, and Management Services Organizations (MSOs). These structures embody how physicians and entrepreneurs have...
Licensing is one of the most foundational aspects of operating as a healthcare professional or organization. Yet, navigating this complex process often proves to be a daunting task, especially when unexpected hurdles arise. While some healthcare practitioners and business owners rely on consultants to facilitate their licensure applications, there are specific instances where enlisting the...
When it comes to DEA investigations, healthcare providers face serious consequences if they fail to comply with regulations concerning controlled substances. Physicians, pharmacists, clinics, and hospitals are often targets of such investigations due to their role in prescribing and dispensing medications. A mistake during a DEA investigation can result in loss of DEA registration, fines, or...
A new federal watchdog audit is ratcheting up pressure on government officials to crack down on billions of dollars in overcharges linked to Medicare Advantage home visits. But so far, the Centers for Medicare & Medicaid Services has rejected a recommendation from the Health and Human Services Inspector General to limit payments stemming from house visits that don’t result in any medical...
The owners of two Brooklyn, N.Y. adult day care centers and a home healthcare company, along with six others, have been indicted for their alleged roles in a years-long healthcare fraud scheme to allegedly steal $68 million from the Medicaid program. This case underscores the importance of having a healthcare fraud defense attorney who can navigate complex legal battles involving allegations of...
When employers enter the realm of noncompete agreements, whether to draft, enforce, or contest them, they inevitably encounter a slew of legal jargon. Terms like “legitimate business interest” and “equitable remedy” dominate the conversation. Lawyers often focus on explaining these concepts, emphasizing what is deemed reasonable in terms of timeframes, such as two years for employment scenarios...
